Infusion device and method with drive device in infusion device and method with drive device in separable durable housing portion
Summary by NHIP
Infusion device with separable housing
The device delivers infusion media using a durable housing containing electronics and a drive device that couples to a disposable housing via a drive linkage. A moveable member inside the disposable reservoir varies its interior space to drive discrete volumes of media, where each volume remains less than the initial volume.
Claim Score by NHIP
Abstract
A delivery device includes a durable housing portion and a separable disposable portion that selectively engage and disengage from each other. The disposable housing portion secures to the patient and may be disposed of after it has been in use for a prescribed period. Components that normally come into contact with a patient or with infusion media are supported by the disposable housing portion for disposal after the prescribed use, while the durable housing portion supports electronics for controlling delivery of infusion media from the reservoir and a drive device and drive linkage.

Term
0.1 yearsleft in the term
Expires 13 November 2026, including 447 days of term adjustment.
- Priority and filed
- Granted
- Today
- Expires
35 claims: 3 independent, 32 dependent
- 1A delivery device for delivering an infusion media to a user, the device comprising:a first housing portion adapted to be secured to a user;a second housing portion configured to be selectively engaged with and disengaged from the first housing portion to allow disposal of the first housing portion without disposing of the second housing portion;a reservoir for containing infusion media supported on the first housing portion, the reservoir comprising a container having an interior space for containing an initial volume of infusion media and a moveable member disposed at least partially within the container and moveable for varying the interior space of the container to drive one or more discrete volumes of infusion medium from the initial volume of infusion medium in the interior space of the container, wherein each discrete volume is less than the initial volume;electrical control circuitry and a drive device contained in the second housing portion, wherein the electrical control circuitry controls the delivery of infusion media from the reservoir to the user and the drive device is coupled to a drive linkage for selectively driving the drive linkage in a drive direction under control of the electrical control circuitry;wherein the drive linkage operatively couples the drive device to the moveable member of the reservoir to selectively move the moveable member to change the interior space of the container of the reservoir and drive infusion media from the reservoir under control of the electrical control circuitry when the second housing portion is engaged with the first housing portion and the drive linkage is selectively driven in the drive direction by the drive device.
- 21A delivery device for delivering an infusion media to a user, the device comprising:a first housing portion adapted to be secured to a user;a second housing portion configured to be selectively engaged with and disengaged from the first housing portion to allow disposal of the first housing portion without disposing of the second housing portion;a reservoir for containing infusion media supported on the first housing portion, the reservoir comprising a container having an interior space for containing a volume of infusion media under atmospheric pressure and a moveable member disposed at least partially within the container and moveable for varying the interior space of the container to increase pressure of infusion media within the interior space of the container and drive infusion medium from the interior space of the container;electrical control circuitry and a drive device contained in the second housing portion, wherein the electrical control circuitry controls the delivery of infusion media from the reservoir to the user and the drive device is coupled to a drive linkage for selectively driving the drive linkage in a drive direction under control of the electrical control circuitry;wherein the drive linkage operatively couples the drive device to the moveable member of the reservoir to selectively move the moveable member to change the interior space of the container of the reservoir and drive infusion media from the reservoir under control of the electrical control circuitry when the second housing portion is engaged with the first housing portion and the drive linkage is selectively driven in a drive direction by the drive device.
- 22Broadest claimClaim Score 38, average(NHIP)A method for delivering an infusion media to a user, the method comprising:securing a first housing portion to a user;attaching a second housing portion to the first housing portion in a manner that allows a user to selectively detach the second housing portion from the first housing portion;supporting a reservoir for containing infusion media on the first housing portion, the reservoir comprising a container having an interior space for containing an initial volume of infusion media and a moveable member disposed at least partially within the container and moveable for varying the interior space of the container to drive one or more discrete volumes of infusion medium from the initial volume of infusion medium in the interior space of the container, wherein each discrete volume is less than the initial volume;containing electrical control circuitry and a drive device in the second housing portion;coupling the drive device to a drive linkage for selectively driving the drive linkage in a drive direction under control of the electrical control circuitry;and operatively coupling the drive device to the moveable member of the reservoir via the drive linkage, to selectively move the movaeable member to change the interior space of the container of the reservoir and drive infusion media from the reservoir to the user under control of the electrical control circuitry when the second housing portion and the first housing portion are engaged and the drive linkage is selectively driven in the drive direction by the drive device.
Independent claims3
104 paragraphs in 4 sections, as filed
CROSS-REFERENCE TO RELATED PATENT APPLICATIONS
p-0002The present invention relates to U.S. Application 60/678,290, filed May 6, 2005, which is incorporated herein by reference in its entirety and from which the priority benefit under 35 USC 119(e) is claimed.
BACKGROUND OF THE INVENTION
p-0003Certain chronic diseases may be treated, according to modern medical techniques, by delivering a medication or other substance to a patient's body, either in a continuous manner or at particular times or time intervals within an overall time period. For example, diabetes is a chronic disease that is commonly treated by delivering defined amounts of insulin to the patient at appropriate times. Some common modes of providing an insulin therapy to a patient include delivery of insulin through manually operated syringes and insulin pens. However, other modern systems employ programmable pumps to deliver controlled amounts of insulin to a patient.
p-0004Pump type delivery devices have been configured in external devices (that connect to a patient) or implantable devices (to be implanted inside of a patient's body). External pump type delivery devices include devices designed for use in a stationary location (for example, in a hospital or clinic), and further devices configured for ambulatory or portable use (to be carried by a patient). Examples of some external pump type delivery devices are described in Published PCT Application WO 01/70307 (PCT/US01/09139) titled “Exchangeable Electronic Cards For Infusion Devices” (which is owned by the assignee of the present invention), Published PCT Application WO 04/030716 (PCT/US2003/028769) titled “Components And Methods For Patient Infusion Device,” Published PCT Application WO 04/030717 (PCT/US2003/029019) titled “Dispenser Components And Methods For Infusion Device,” U.S. Patent Application Publication No. 2005/0065760 titled “Method For Advision Patients Concerning Doses Of Insulin,” and U.S. Pat. No. 6,589,229 titled “Wearable Self-Contained Drug Infusion Device,” each of which is incorporated herein by reference in its entirety.
p-0005External pump type delivery devices may be connected in fluid-flow communication to a patient-user, for example, through a suitable hollow tubing. The hollow tubing may be connected to a hollow needle that is designed to pierce the patient-user's skin and deliver infusion media there-through. Alternatively, the hollow tubing may be connected directly to the patient as or through a cannula.
p-0006In contexts in which the hollow tubing is connected to the patient through a hollow needle that pierces the patient's skin, a manual insertion of the needle into the patient can be somewhat traumatic to the patient. Accordingly, insertion tools have been made to assist the insertion of a needle into the patient, whereby a needle is forced by a spring to quickly move from a retracted position into an extended position. One example of such an insertion tool is described in U.S. Patent Application Publication No. 2002/0022855, titled “Insertion Device For An Insertion Set And Method Of Using The Same” (assigned to the assignee of the present invention), which is incorporated herein by reference in its entirety. As the needle is moved into the extended position, the needle is quickly forced through the patient's skin in a single, relatively abrupt motion that can be less traumatic to a patient as compared to a slower, manual insertion of a needle.
p-0007As compared to syringes and insulin pens, pump type delivery devices can be significantly more convenient to a patient, in that accurate doses of insulin may be calculated and delivered automatically to a patient at any time during the day or night. Furthermore, when used in conjunction with glucose sensors or monitors, insulin pumps may be automatically controlled to provide appropriate doses of infusion medium at appropriate times of need, based on sensed or monitored levels of blood glucose.
p-0008Pump type delivery devices have become an important aspect of modern medical treatments of various types of medical conditions, such as diabetes. As pump technologies improve and doctors and patients become more familiar with such devices, the popularity of external medical infusion pump treatment increases and is expected to increase substantially over the next decade.
p-0009However, many types of pump type delivery devices have been relatively expensive to obtain and to operate over a period of time. Some pump type delivery devices require relatively complicated and time consuming procedures for re-filling or replacing spent infusion media. Some pump type delivery devices can only be used for a prescribed period of time or require disposal or substantial rebuilding of key components after a prescribed number of uses.
p-0010Accordingly, a need exists for an infusion pump device and system that meets the increased demand for ambulatory infusion devices and that combines beneficial features of prior pump devices (including capabilities for continuous infusion, precision dosing, programmable delivery schedules, controlled operation based on sensor or monitor data) with additional features that allow the pump device and system to be operated economically and efficiently over a sufficient length of time. A further need exists for such infusion pump devices and systems which include features for simplifying re-filling or replacement of infusion media.
BRIEF DESCRIPTION OF THE DRAWINGS
p-0011<figref idrefs="DRAWINGS">FIG. 1</figref> is a generalized diagram of a delivery system in relation to a human patient-user.
p-0012<figref idrefs="DRAWINGS">FIG. 2</figref> is a perspective view of a delivery device and related components according to an embodiment of the invention.
p-0013<figref idrefs="DRAWINGS">FIGS. 3-12</figref> each show a partial cross-sectional view of elements of a delivery device, including a motor, linkage and reservoir for a delivery device according to an embodiment of the present invention.
p-0014<figref idrefs="DRAWINGS">FIGS. 13</figref> is a partially exploded view of a delivery device according to an embodiment of the invention.
p-0015<figref idrefs="DRAWINGS">FIGS. 14-16</figref> show perspective views of various elements of the delivery device of <figref idrefs="DRAWINGS">FIG. 13</figref>.
p-0016<figref idrefs="DRAWINGS">FIGS. 17-24</figref> and <b>28</b>-<b>30</b> each show a generalized perspective view of needle insertion portions of delivery devices according to embodiments of the present invention.
p-0017<figref idrefs="DRAWINGS">FIG. 25</figref> is a bottom view of a disposable portion of a delivery device according to an embodiment of the present invention.
p-0018<figref idrefs="DRAWINGS">FIG. 26</figref> is a perspective view of a delivery device, showing internal structure for distributing adhesive release agents according to an embodiment of the present invention.
p-0019<figref idrefs="DRAWINGS">FIG. 27</figref> is a generalized diagram of an electronic system included in a delivery device according to an embodiment of the present invention.
p-0020<figref idrefs="DRAWINGS">FIGS. 31-36</figref> are generalized perspective views of various needle configurations according to embodiments of the present invention.
DETAILED DESCRIPTION
p-0021The present invention relates, generally, to delivery devices, systems and methods for delivering infusion media, such as a drug, to a recipient, such as a medical patient. In particular embodiments, a delivery device includes a disposable portion that secures to the recipient and that may be readily disposed of after it has been in use for a period of time. Such embodiments may be configured to provide a reliable, user-friendly mechanism to secure the delivery device to a patient for delivery of fluidic infusion media to the patient. Embodiments may be configured with feature that enhance the ease by which patients may secure the delivery device to the patient's skin and further features that enhance the ease by which patients may fill, re-fill or replace spent infusion media.
p-0022While embodiments of the present invention are described herein with reference to an insulin delivery example for treating diabetes, other embodiments of the invention may be employed for delivering other infusion media to a patient for other purposes. For example, further embodiments of the invention may be employed for delivering other types of drugs to treat diseases or medical conditions other than diabetes, including, but not limited to drugs for treating pain or certain types of cancers, pulmonary disorders or HIV. Further embodiments may be employed for delivering media other than drugs, including, but not limited to, nutritional media including nutritional supplements, dyes or other tracing media, saline or other hydration media, or the like.
p-0023A generalized representation of an infusion media delivery system <b>10</b> is shown in <figref idrefs="DRAWINGS">FIG. 1</figref>, wherein the system includes a delivery device <b>12</b> configured according to embodiments of the invention described herein. The system <b>10</b> may also include other components coupled for communication with the delivery device <b>12</b>, including, but not limited to, a sensor or monitor <b>14</b>, a command control device (CCD) <b>16</b> and a computer <b>18</b>. Each of the CCD <b>16</b>, the computer <b>18</b> and the delivery device <b>12</b> may include receiver or transceiver electronics that allow communication with other components of the system. The delivery device <b>12</b> may include electronics and software for analyzing sensor data and for delivering infusion media according to sensed data and/or pre-programmed delivery routines. Some of the processing, delivery routine storage and control functions may be carried out by the CCD <b>16</b> and/or the computer <b>18</b>, to allow the delivery device <b>12</b> to be made with more simplified electronics. However, in other embodiments, the system <b>10</b> may comprise delivery device <b>12</b> without any one or more of the other components of the system <b>10</b> shown in <figref idrefs="DRAWINGS">FIG. 1</figref>.
p-0024In the generalized system diagram of <figref idrefs="DRAWINGS">FIG. 1</figref>, the delivery device <b>12</b> and sensor or monitor <b>14</b> are secured to a patient-user. The locations at which those components are secured to the patient-user in <figref idrefs="DRAWINGS">FIG. 1</figref> are provided only as a representative, non-limiting example. The delivery device <b>12</b> and sensor or monitor <b>14</b> may be secured at other locations on the patient, and such locations may depend upon the type of treatment to be administered by the system <b>10</b>.
p-0025As described in further detail below, the delivery device <b>12</b> contains a reservoir of infusion media and delivers the infusion media into the patient's body in a controlled manner. The delivery device <b>12</b> may be configured to secure to the skin of a patient, in the manner of a patch, at a desired location on the patient. Control instructions and/or data may be communicated between the delivery device <b>12</b>, the sensor or monitor <b>14</b>, the CCD <b>16</b> and the computer <b>18</b>, as described in more detail below.
p-0026An example of a patch-like delivery device <b>12</b> according to an embodiment of the invention is shown in <figref idrefs="DRAWINGS">FIG. 2</figref>. The delivery device <b>12</b> in <figref idrefs="DRAWINGS">FIG. 2</figref> includes a disposable portion <b>20</b> and a durable portion <b>22</b>. The disposable portion <b>20</b> may include structural elements that ordinarily contact the patient's skin or infusion media, during operation of the delivery device <b>12</b>. On the other hand, the durable portion <b>22</b> may have elements (including electronics, motor components, linkage components, and the like) that do not ordinarily contact the patient or infusion media during operation of the delivery device <b>12</b>. Thus, elements in the durable portion <b>22</b> of the delivery device <b>12</b> are typically not contaminated from contact with the patient or infusion media during normal operation of the delivery device <b>12</b>.
p-0027In the illustrated embodiment, the disposable portion of the delivery device <b>12</b> comprises a disposable base <b>20</b> that supports a reservoir <b>24</b>. The durable portion <b>22</b> may comprise a housing that secures onto the base <b>20</b> and covers the reservoir <b>24</b>. The durable portion <b>22</b> may house a suitable drive device, such as an electrically operated motor (not shown in <figref idrefs="DRAWINGS">FIG. 2</figref>), and drive linkage components (not shown in <figref idrefs="DRAWINGS">FIG. 2</figref>) for driving fluid out of the reservoir. The durable portion <b>22</b> also may house suitable control electronics (not shown in <figref idrefs="DRAWINGS">FIG. 2</figref>) for controlling the operation of the drive device to drive fluid from the reservoir in a controlled manner. Further embodiments may include communication electronics (not shown in <figref idrefs="DRAWINGS">FIG. 2</figref>) within the durable portion <b>22</b>, for communicating with the sensor or monitor <b>14</b>, the CCD <b>16</b>, the computer <b>18</b> and/or other components of the system <b>10</b>.
p-0028The disposable base portion <b>20</b> has a bottom surface (facing downward and into the page in <figref idrefs="DRAWINGS">FIG. 2</figref>) that is configured to secure to a patient's skin at a desired location on the patient. A suitable adhesive may be employed at the interface between the bottom surface of the base portion <b>20</b> and the patient's skin, to adhere the base portion <b>22</b> to the patient's skin. The adhesive may be provided on the bottom surface of the base portion <b>20</b>, with a pealable cover layer covering the adhesive material. In this manner, a patient-user may peal off the cover layer to expose the adhesive material and then place the adhesive side of the base portion <b>20</b> against the patient's skin.
p-0029The base portion <b>20</b> may include a suitable opening or port <b>23</b> for connecting a hollow tube <b>25</b> to the reservoir, to convey infusion media from the reservoir. One end of the tube <b>25</b> may have a suitable connector <b>26</b>, such as, but not limited to a Luer connector or a threaded cap connector having a hollow needle for coupling (in fluid-flow communication) to a corresponding connector <b>27</b> on the reservoir <b>24</b>. Alternatively or in addition, the reservoir <b>24</b> may include a septum as part of the connector <b>27</b>, for receiving an end of a hollow needle. The opening or port on the base portion <b>20</b> may be provided with corresponding connector structure, such as, but not limited to a Luer connector receptacle or a threaded receptacle shaped to receive a threaded cap connector. Other embodiments may employ other suitable connectors or connection arrangements for connecting one end of the tube <b>25</b> in fluid-flow communication with the reservoir <b>24</b>.
p-0030The other end of the tube <b>25</b> may connected to a hollow needle <b>21</b> for piercing the patient's skin and conveying infusion media into the patient. The hollow needle <b>21</b> may be secured to the patient's skin, for example, by manual application or with the assistance of an insertion tool, such as, but not limited to the insertion tool described in U.S. Patent Application Publication No. 2002/0022855, titled “Insertion Device For An Insertion Set And Method Of Using The Same.” In other embodiments, as described below, a hollow needle and insertion mechanism may be included within the delivery device <b>12</b>, so as to avoid the need for a port <b>23</b>, tube <b>25</b> and connector <b>26</b>.
p-0031The durable portion <b>22</b> of the delivery device <b>12</b> includes a housing shell configured to mate with and secure to the disposable base portion <b>20</b>. The durable portion <b>22</b> and base portion <b>20</b> may be provided with correspondingly shaped grooves, notches, tabs or other suitable features that allow the two parts to easily snap together, by manually pressing the two portions together in a manner well known in the mechanical arts. In a similar manner, the durable portion <b>22</b> and base portion <b>20</b> may be separated from each other by manually applying sufficient force to unsnap the two parts from each other. In further embodiments, a suitable seal, such as an o-ring seal, may be placed along the peripheral edge of the base portion <b>20</b> and/or the durable portion <b>22</b>, so as to provide a seal against water between the base portion <b>20</b> and the durable portion <b>22</b>.
p-0032The durable portion <b>22</b> and base portion <b>20</b> may be made of suitably rigid materials that maintain their shape, yet provide sufficient flexibility and resilience to effectively snap together and apart, as described above. The base <b>20</b> material may be selected for suitable compatibility with the patient's skin. For example, the base portion <b>20</b> and the durable portion <b>22</b> of the delivery device <b>12</b> may be made of any suitable plastic, metal, composite material or the like. The base portion <b>20</b> may be made of the same type of material or a different material relative to the durable portion <b>22</b>. The base portion and durable portions may be manufactured by injection molding or other molding processes, machining processes or combinations thereof.
p-0033For example, the base portion <b>20</b> may be made of a relatively flexible material, such as a flexible silicon, plastic, rubber, synthetic rubber or the like. By forming the base portion of a material capable of flexing with the patient's skin, a greater level of patient comfort may be achieved when the base portion is secured to the patient's skin. Also, a flexible base portion <b>20</b> can result in an increase in the site options on the patient's body at which the base portion <b>20</b> may be secured.
p-0034In the embodiment illustrated in <figref idrefs="DRAWINGS">FIG. 2</figref>, the durable portion <b>20</b> of the delivery device <b>12</b> is connected to a sensor <b>14</b>, through a sensor lead <b>29</b>. The sensor <b>14</b> may comprise any suitable biological or environmental sensing device, depending upon the nature of the treatment to be administered by the delivery device <b>12</b>. For example, in the context of delivering insulin to a diabetes patient, the sensor <b>14</b> may comprise a blood glucose sensor.
p-0035The sensor <b>14</b> may be an external sensor that secures to the patient's skin or, in other embodiments, may be an implantable sensor that is located in an implant site within the patient. In the illustrated example of <figref idrefs="DRAWINGS">FIG. 2</figref>, the sensor <b>14</b> is an external sensor having a disposable needle pad <b>14</b>′ that includes a needle for piercing the patient's skin and enzymes and/or electronics reactive to a biological condition, such as blood glucose level, of the patient. The disposable needle pad <b>14</b>′ may electrically contact electrical conductors in the lead <b>29</b>, to convey electrical signals from the sensor <b>14</b> to suitable sensor electronics located within the durable portion <b>22</b> of the delivery device <b>12</b>. The lead <b>29</b> may have any suitable length. In this manner, the delivery device <b>12</b> may be provided with sensor data from a sensor secured to the patient, at a site remote from the location at which the delivery device <b>12</b> is secured to the patient.
p-0036While the embodiment shown in <figref idrefs="DRAWINGS">FIG. 2</figref> includes a sensor <b>14</b> connected by a lead <b>29</b> for providing sensor data to sensor electronics located within the durable portion <b>22</b> of the delivery device <b>12</b>, other embodiments may employ a sensor <b>14</b> located within the delivery device <b>12</b>, as described below. Yet other embodiments may employ a sensor <b>14</b> having a transmitter for communicating sensor data by a wireless communication link with to receiver electronics located within the durable portion <b>22</b> of the delivery device <b>12</b>. The wireless connection between the sensor <b>14</b> and the receiver electronics in the durable portion <b>22</b> of the delivery device <b>12</b> may comprise a radio frequency RF connection, an optical connection, or another wireless suitable communication link. Further embodiments need not employ a sensor and, instead, provide infusion media delivery functions without the use of sensor data.
p-0037As described above, by separating disposable elements of the delivery device <b>12</b> from durable elements, the disposable elements may be arranged on the disposable base portion <b>20</b>, while durable elements may be arranged within a separable durable portion <b>22</b>. In this regard, after one (or a prescribed number) of uses of the delivery device <b>12</b>, the disposable base portion <b>20</b> may be separated from the durable portion <b>22</b>, so that the disposable base portion <b>20</b> may be disposed of in a proper manner. The durable portion <b>22</b> may, then, be mated with a new (un-used) disposable base portion <b>20</b> for further delivery operation with a patient.
p-0038The reservoir <b>24</b> may be supported by the disposable base portion <b>20</b> in any suitable manner. The reservoir may be provided as a cartridge or generally cylindrical canister for containing fluidic infusion media. For example, the base portion <b>20</b> may be provided with projections or struts, or a trough feature for holding a cartridge-type reservoir in a manner that allows a user to readily remove the reservoir from the base portion and re-install a new or refilled reservoir, when replacement or re-filling is needed, as described with respect to further embodiments below. Alternatively, or in addition, the reservoir <b>24</b> may be secured to the base portion <b>20</b> by a suitable adhesive or other coupling structure. The reservoir <b>24</b> has a port and may be supported by the base portion <b>20</b> in a position at which a connector <b>26</b> may engage or otherwise come into fluid flow communication with the reservoir port, when the connector <b>26</b> is connected to the port <b>23</b> on the base portion <b>20</b>.
p-0039The durable portion <b>22</b> of the delivery device <b>12</b> may include a motor or other force-applying mechanism, for applying a force to the infusion media within the reservoir <b>24</b> to force fluidic infusion media out of the reservoir <b>24</b> and into the needle <b>27</b>, for delivery to the patient. For example, an electrically driven motor may be mounted within the durable portion <b>22</b> with appropriate linkage for causing the motor to operably engage a piston of the reservoir and drive the reservoir piston in a direction to cause the fluidic pressure within the reservoir to increase and thereby force fluidic infusion media out of the reservoir port, into the tube <b>25</b> and needle <b>27</b>. The motor may be arranged within the durable portion <b>22</b> and the reservoir may be correspondingly arranged on the disposable portion <b>20</b>, such that the operable engagement of the motor with the reservoir piston (e.g., through appropriate linkage) occurs automatically upon the patient-user snap fitting the durable portion <b>22</b> onto the disposable portion <b>20</b> of the delivery device <b>12</b>.
p-0040One example of a motor and reservoir configuration is shown in <figref idrefs="DRAWINGS">FIG. 3</figref>. In the embodiment of <figref idrefs="DRAWINGS">FIG. 3</figref>, the reservoir <b>24</b> (shown in cross-section) comprises a canister, for example, made of a suitable metal, plastic, ceramic, glass, composite material or the like, for containing a fluidic infusion media. The canister reservoir <b>24</b> includes an opening <b>30</b>, through which infusion media from inside of the reservoir may be expelled from the reservoir in response to a force applied by a piston plunger <b>32</b>. As described in further embodiments below, the opening <b>30</b> may contain a septum that is designed to be pierced by a needle.
p-0041The piston plunger <b>32</b> extends partially into the canister from the opposite side of the canister relative to the opening <b>30</b>. The piston plunger <b>32</b> may be made of a suitably rigid material, such as but not limited to metal, plastic, ceramic, glass or composite material, and has a head <b>34</b> that has an outside diameter of slightly less than the inside diameter of the canister portion of the reservoir. One or more seals, such as but not limited to o-ring type seals <b>36</b>, may be arranged within annular grooves provided on the piston plunger head <b>34</b>. The o-ring seals <b>36</b> may be made of any suitable material, including, but not limited to rubber, plastic, metal, composite material or the like, where such o-rings provide a sealing function for inhibiting the leakage of infusion media from the piston-plunger end of the reservoir <b>24</b>. The materials from which the reservoir <b>24</b>, piston plunger <b>32</b> and seal(s) <b>36</b> are made are preferably selected for suitable strength and durability characteristics, as well as compatibility with the infusion media.
p-0042The piston plunger <b>32</b> in <figref idrefs="DRAWINGS">FIG. 3</figref> includes a keyed or threaded portion <b>38</b>, located external to the canister reservoir <b>24</b>. The keyed or threaded portion <b>38</b> is provided with keys, key slots or threads that are configured to engage corresponding key slots, keys or threads on a linkage structure <b>40</b>. In the illustrated example of <figref idrefs="DRAWINGS">FIG. 3</figref>, the linkage structure <b>40</b> includes a keyed, slotted or threaded shaft <b>42</b>, supported by bearings <b>43</b> or other suitable structure for allowing rotation of the shaft <b>42</b> about its longitudinal axis. The bearings <b>43</b> may be mounted within the durable portion <b>22</b> of the delivery device <b>12</b>, so as to support the shaft <b>42</b> for rotation within the durable portion <b>22</b>.
p-0043A motor <b>44</b> is mechanically coupled to the shaft <b>42</b>, to drive the shaft in a rotary motion about its axis in a controlled manner. The motor <b>44</b> may be coupled to the shaft <b>42</b> through one or more suitable gears, belts, chains, drive shafts or other linkage structure. In the embodiment illustrated in <figref idrefs="DRAWINGS">FIG. 3</figref>, the motor <b>44</b> includes a drive gear <b>45</b>, while the shaft <b>42</b> is provided with a further gear <b>46</b>. A third gear <b>47</b> is arranged between the drive gear <b>45</b> and the further gear <b>46</b>, to convey rotary drive force from the motor <b>44</b> to the shaft <b>42</b>. Thus, the drive gear <b>45</b>, the further gear <b>46</b> and the third gear <b>47</b> form a gear train for transferring motor drive force to the shaft <b>42</b>. In this manner, as the motor rotatably drives the motor drive shaft, the gear train transfers the motor drive force to rotate the shaft <b>42</b>, which is transferred to an axial movement of the piston plunger <b>32</b> relative to the reservoir <b>24</b>.
p-0044The motor <b>44</b>, shaft <b>42</b> and gear train therebetween may be mounted within the durable portion <b>22</b> of the delivery device in a location at which the keyed, slotted or threaded portion of the shaft <b>42</b> engages the slotted, keyed or threaded portion of the piston plunger <b>32</b>, as shown in <figref idrefs="DRAWINGS">FIG. 3</figref>. In this manner, when the durable portion <b>22</b> is snap fitted onto the disposable portion <b>20</b>, the keyed, slotted or threaded portion of the shaft <b>42</b> automatically engages the slotted, keyed or threaded portion of the piston plunger <b>32</b> without requiring further user manipulation of the elements.
p-0045While not shown in <figref idrefs="DRAWINGS">FIG. 3</figref>, the motor <b>44</b> may be provided with electrical terminals for connection to a motor control circuit (not shown). The motor control circuit may be mounted within the durable portion <b>22</b> of the delivery device, for controlling the operation of the motor according to a desired infusion delivery program or profile. A delivery program or profile may be stored within a suitable electronic storage medium located within the durable portion <b>22</b> and/or may be communicated to the delivery device <b>12</b> from other sources, such as a CCD <b>16</b> or a computer <b>18</b> (as shown in <figref idrefs="DRAWINGS">FIG. 1</figref>). Alternatively or in addition, the motor control circuit may control the motor to deliver one or more discrete volumes of infusion media in response to delivery demand control signals generated within the device <b>12</b> or communicated to the device <b>12</b> from other sources, such as a CCD <b>16</b> or a computer <b>18</b> (as shown in <figref idrefs="DRAWINGS">FIG. 1</figref>).
p-0046In the arrangement illustrated in <figref idrefs="DRAWINGS">FIG. 3</figref>, once the reservoir <b>24</b> has been sufficiently emptied or otherwise requires replacement, the patient-user may simply unsnap and remove the durable portion <b>22</b> from the disposable base portion <b>20</b> of the delivery device and replace the disposable portion <b>20</b> (including the reservoir) with a new disposable portion having a filled or re-filled reservoir <b>24</b>. The durable portion <b>22</b> may be snap fitted onto the new disposable portion and the delivery device (including the new disposable portion) may be secured to the patient's skin, as described above.
p-0047In a further embodiment, the reservoir <b>24</b> may be supported by the base portion <b>20</b> in a manner that allows the reservoir <b>24</b> (and piston plunger <b>32</b>) to be removed from the remainder of the base portion <b>20</b> and disposed of or re-filled, and further allows a new or re-filled reservoir <b>24</b> (and piston plunger <b>32</b>) to be re-installed onto the base portion <b>20</b>, while the base portion remains secured to the patient-user's skin. In this manner, the reservoir may be removed and a new or re-filled reservoir may be installed on the same base portion. The same base portion may be used for multiple new or re-filled reservoirs and, then, disposed of after a prescribed number of new or re-filled reservoirs have been used on the base portion, while the same durable portion may be used for multiple base portion replacements.
p-0048The reservoir may be supported on the disposable base portion <b>20</b> by a trough structure (or other type of seat) formed on the base portion <b>20</b>. In such an embodiment, the reservoir may be freely lifted off of the trough structure (or other type of seat) by the patient-user, when the durable portion <b>22</b> is removed from the base portion <b>20</b> of the delivery device <b>12</b>, but is inhibited from lifting off of the trough structure by an obstructing part of the durable portion <b>22</b> when the durable portion <b>22</b> is snap fitted onto the base portion <b>20</b>. Alternatively, or in addition, other manners of removably supporting the reservoir <b>24</b> on the base portion <b>20</b> may be employed, including, but not limited to, straps attached to the base portion, low strength adhesive material on the base portion, or the like.
p-0049While the embodiment shown in <figref idrefs="DRAWINGS">FIG. 3</figref> is one example of a manner of coupling a drive motor <b>44</b> to a reservoir <b>24</b>, to drive infusion media from the reservoir in a controlled manner, other suitable manners of coupling a drive motor <b>44</b> to a reservoir <b>24</b> may be employed in accordance with other embodiments of the present invention, while still allowing a disposable portion of a delivery device to be easily removable and replaceable relative to a durable portion of the delivery device. Further examples of drive motor coupling arrangements are shown in <figref idrefs="DRAWINGS">FIGS. 4-11</figref>, wherein components similar to those described above with respect to <figref idrefs="DRAWINGS">FIG. 3</figref> are provided with correspondingly similar reference numbers.
p-0050The drive motor coupling arrangement of <figref idrefs="DRAWINGS">FIG. 4</figref> includes a piston plunger <b>32</b> that has a half-nut or single rack configuration. In particular, the piston plunger <b>32</b> in <figref idrefs="DRAWINGS">FIG. 4</figref> has a threaded rack <b>48</b> extending along the longitudinal dimension of the piston plunger, from a location offset from the center of the head <b>34</b>. The motor <b>44</b> includes a rotatably driven drive shaft on which a drive screw <b>49</b> is mounted for rotation with the drive shaft. During operation, the drive screw <b>49</b> is arranged to engage the threaded rack <b>48</b> and, upon rotation of the drive screw, provides an linear movement of the piston plunger <b>32</b> relative to the reservoir <b>24</b>.
p-0051The reservoir <b>24</b> in <figref idrefs="DRAWINGS">FIG. 4</figref> may be supported on a base portion <b>20</b> of the delivery device <b>12</b> (<figref idrefs="DRAWINGS">FIG. 1</figref>), in a manner as described above with respect to <figref idrefs="DRAWINGS">FIG. 3</figref>. Similarly, the motor <b>44</b>, including the drive shaft and drive screw <b>49</b> may be supported within the durable portion <b>22</b> of the delivery device <b>12</b>. When the durable portion <b>22</b> is removed from the base portion <b>20</b>, the rack <b>48</b> may be easily disengaged from the drive screw <b>49</b> by simply lifting the reservoir off of the base portion <b>20</b>. A new or re-filled reservoir (and piston plunger <b>32</b>) may be re-installed onto the base portion <b>20</b> and readily engaged with the drive screw <b>49</b>, by simply aligning the threaded rack <b>48</b> with the drive screw <b>49</b> while placing the new or re-filled reservoir onto the base portion <b>20</b>. A trough or seat may be included in the base portion <b>20</b>, as described above, in a location that aligns the threaded rack <b>48</b> with the drive screw <b>49</b>, when the durable portion <b>22</b> of the delivery device is snap fitted onto the base portion <b>20</b> of the delivery device.
p-0052A further drive motor coupling arrangement is shown in <figref idrefs="DRAWINGS">FIG. 5</figref>, wherein the piston plunger <b>32</b> has a threaded rack <b>48</b> extending along the longitudinal dimension of the piston plunger, from a location offset from the center of the head <b>34</b>, similar to the threaded rack <b>48</b> in FIG. <b>4</b>., However, in the arrangement shown in <figref idrefs="DRAWINGS">FIG. 5</figref>, the motor <b>44</b> is arranged such that the drive shaft of the motor is perpendicular to the longitudinal, axial dimension of the piston plunger <b>32</b>. The drive shaft of the motor <b>44</b> in <figref idrefs="DRAWINGS">FIG. 5</figref> is provided with a pinion gear <b>50</b> that engages the threaded rack <b>48</b> of the piston plunger <b>32</b>. In this manner, as the motor rotatably drives the motor drive shaft, the pinion gear <b>50</b> rotates with the motor drive shaft to provide a linear movement of the piston plunger <b>32</b> relative to the reservoir <b>24</b>.
p-0053The reservoir <b>24</b> in <figref idrefs="DRAWINGS">FIG. 5</figref> may be supported on a base portion <b>20</b> of the delivery device <b>12</b> (<figref idrefs="DRAWINGS">FIG. 1</figref>), in a manner as described above with respect to <figref idrefs="DRAWINGS">FIGS. 3 and 4</figref>. Similarly, the motor <b>44</b>, including the drive shaft and pinion gear <b>50</b> may be supported within the durable portion <b>22</b> of the delivery device <b>12</b>. When the durable portion <b>22</b> is removed from the base portion <b>20</b>, the rack <b>48</b> may be easily-disengaged from the pinion gear <b>50</b> by simply lifting the reservoir off of the base portion <b>20</b>. A new or re-filled reservoir (and piston plunger <b>32</b>) may be re-installed onto the base portion <b>20</b> and readily engaged with the pinion gear <b>50</b>, by simply aligning the threaded rack <b>48</b> with the pinion gear <b>50</b> while placing the new or re-filled reservoir onto the base portion <b>20</b>. A trough or seat may be included in the base portion <b>20</b>, as described above, in a location that aligns the threaded rack <b>48</b> with the pinion gear <b>50</b> when the durable portion <b>22</b> of the delivery device is snap fitted onto the base portion <b>20</b> of the delivery device.
p-0054A further drive motor coupling arrangement is shown in <figref idrefs="DRAWINGS">FIG. 6</figref>. The arrangement in <figref idrefs="DRAWINGS">FIG. 6</figref> is similar to that of <figref idrefs="DRAWINGS">FIG. 5</figref>, except that the piston plunger <b>32</b> is provided with a double rack arrangement composed of two racks <b>60</b> as described above with respect to rack <b>48</b>. In addition, the motor <b>62</b> in <figref idrefs="DRAWINGS">FIG. 5</figref> is provided with two drive shafts, each drive shaft having a pinion gear <b>64</b> for engaging the racks <b>60</b> and operates in a manner similar to the single rack and pinion arrangement of <figref idrefs="DRAWINGS">FIG. 5</figref>. In the arrangement shown in <figref idrefs="DRAWINGS">FIG. 6</figref>, the pinion gears <b>64</b> are arranged side-by-side, along the longitudinal or axial direction of the piston plunger <b>32</b>. <figref idrefs="DRAWINGS">FIG. 7</figref> shows a configuration similar to <figref idrefs="DRAWINGS">FIG. 6</figref>, except that the pinion gears <b>64</b> are arranged adjacent each other along a direction perpendicular to the longitudinal or axial direction of the piston plunger <b>32</b>.
p-0055Yet a further drive motor coupling arrangement is shown in <figref idrefs="DRAWINGS">FIG. 8</figref>. The arrangement of <figref idrefs="DRAWINGS">FIG. 8</figref> is similar to that of <figref idrefs="DRAWINGS">FIG. 4</figref>, except that the piston plunger <b>32</b> is provided with a hollow shaft portion <b>80</b> having a threaded interior. The drive screw <b>49</b> is configured to be threadably inserted into the hollow shaft portion <b>80</b>, such that threads on the drive screw engage threads on the inner surface of the hollow shaft <b>80</b>. In this manner, rotation of the drive shaft and drive screw <b>49</b> by the motor <b>44</b> provides a linear movement of the piston plunger <b>32</b> within the reservoir <b>24</b>. In the embodiment shown in <figref idrefs="DRAWINGS">FIG. 8</figref>, one or more seals <b>80</b>, such as o-ring seals <b>82</b>, may be arranged around the hollow shaft portion <b>80</b>.
p-0056A further drive motor coupling arrangement is shown in <figref idrefs="DRAWINGS">FIGS. 9 and 10</figref>, wherein the motor <b>44</b> is provided with a threaded drive shaft screw <b>90</b>. The arrangement of <figref idrefs="DRAWINGS">FIGS. 9 and 10</figref> includes a piston plunger <b>92</b> having a piston head <b>34</b> similar to the piston head described above with respect to <figref idrefs="DRAWINGS">FIGS. 4-8</figref>. However, the piston plunger <b>92</b> in <figref idrefs="DRAWINGS">FIGS. 9 and 10</figref> further includes a pair of arm members <b>94</b> that extend from the head <b>34</b> in a V configuration. Each arm member <b>94</b> includes a threaded foot portion <b>96</b> extending toward the threaded drive shaft screw <b>90</b>.
p-0057The arm members <b>94</b> are connected to or otherwise extended from the piston head <b>34</b> in a manner that allows the arm members <b>94</b> to pivot slightly in the direction toward and away from the threaded drive screw <b>90</b>. By virtue of their pivoting motion, the arm members <b>94</b> may be pivoted such that the threaded foot portions <b>96</b> are brought into or out of engagement with the threaded drive screw <b>90</b>. When the arm members <b>94</b> are pivoted such that the foot portions <b>96</b> are out of engagement with the threaded'shaft <b>90</b>, as shown in <figref idrefs="DRAWINGS">FIG. 9</figref>, the reservoir <b>24</b> may be separated from the motor <b>44</b> and removed from the delivery device <b>12</b>. However, when the arm members <b>94</b> are pivoted such that the foot portions <b>96</b> are brought into engagement with the threaded drive screw <b>90</b>, as shown in <figref idrefs="DRAWINGS">FIG. 10</figref>, then rotation of the threaded drive screw by the action of the motor <b>44</b> will result in a linear movement of the piston head <b>34</b> within the reservoir <b>24</b>.
p-0058A pair of cam surfaces <b>98</b> may be arranged within the drive device <b>12</b> at locations that engage the outer surface of the arm members <b>94</b>, when the reservoir <b>24</b> and piston plunger are rotated, for example, in the direction of the arrow <b>99</b> in <figref idrefs="DRAWINGS">FIG. 9</figref>. The cam surfaces <b>98</b> may be arranged relative to the reservoir <b>24</b>, such that engagement of the arm members <b>94</b> with the cam surfaces <b>98</b> causes the arm members <b>94</b> to pivot toward the threaded drive screw to engage the foot portions <b>96</b> with the threaded drive screw. The cam surfaces <b>98</b> may be formed as part of the structure of the base portion <b>20</b>, the durable portion <b>22</b> or both.
p-0059Accordingly, during a reservoir canister replacement or refilling operation, a patient-user may remove the durable portion <b>22</b> from the base portion <b>20</b> of the delivery device to expose the reservoir canister <b>24</b>. The patient-user may, then, rotate the reservoir <b>24</b> in a direction to disengage the arm members <b>94</b> from the cam surfaces <b>98</b> and allow the foot portions <b>96</b> of the arm members <b>94</b> to disengage from the threaded drive shaft <b>90</b> (as shown in <figref idrefs="DRAWINGS">FIG. 9</figref>). In that position, the reservoir <b>24</b> (including the piston plunger and arm members <b>94</b>) may be lifted from the base portion and either re-filled or replaced with a new reservoir cartridge <b>24</b> (including piston plunger and arm members <b>94</b>). The new or re-filled reservoir cartridge may be placed back into the base portion <b>20</b> with the arm members <b>94</b> arranged out of engagement with the cam surfaces <b>98</b> (as shown in <figref idrefs="DRAWINGS">FIG. 9</figref>). Thereafter, the patient-user may rotate the reservoir cartridge <b>24</b> in the direction of arrow <b>99</b>, to bring the arm members <b>94</b> into engagement with the cam surfaces <b>98</b> and cause the foot portions <b>96</b> to engage the threaded drive shaft <b>90</b> (as shown in <figref idrefs="DRAWINGS">FIG. 10</figref>).
p-0060A further drive motor coupling arrangement is shown in <figref idrefs="DRAWINGS">FIG. 11</figref>. The coupling arrangement in <figref idrefs="DRAWINGS">FIG. 11</figref> is similar to that of <figref idrefs="DRAWINGS">FIG. 3</figref>, except that the threaded portion of the piston plunger comprises a threaded screw <b>100</b> extending from the piston head <b>34</b> and engaging a gear of the gear train. In particular, the gear train in the embodiment of <figref idrefs="DRAWINGS">FIG. 11</figref> includes a motor drive gear <b>101</b>, a gear <b>102</b> engaging the motor drive gear and a shaft <b>104</b> coupling the gear <b>102</b> to a third gear <b>103</b>. The third gear <b>103</b> is arranged to engage the threaded screw <b>100</b> such that rotation of drive gear <b>101</b> by the motor <b>44</b> causes rotation of the gears <b>102</b> and <b>103</b>, which causes a linear movement of the shaft <b>100</b> and piston head <b>34</b> relative to the reservoir <b>24</b>. The shaft <b>104</b> may be supported by one or more bearing structures <b>105</b> and may include one or more seals, such as o-ring seals <b>106</b>.
p-0061The shaft <b>104</b> may be configured to rigidly connect gears <b>102</b> and <b>103</b>, such that rotation of the gear <b>102</b> by the drive gear <b>101</b> results in a like rotation of the gear <b>103</b>. Alternatively, the gear <b>103</b> may be coupled to the shaft <b>104</b> with a ratchet connection that allows the gear to be driven in one direction (such as the direction in which the piston head <b>34</b> would be moved toward the septum end of the reservoir to increase pressure within the reservoir and cause infusion fluid to be expelled from the septum end of the reservoir (provided the septum of the reservoir has been opened). On the other hand, the ratchet connection of the gear <b>103</b> with the shaft <b>104</b> may allow the gear <b>103</b> to freely rotate in the other direction (the direction for causing the piston head <b>34</b> to move in the outward direction away from the septum end of the reservoir).
p-0062Thus, as described above, various arrangements for connecting a drive motor <b>44</b> to a reservoir cartridge <b>24</b> may be employed to allow fluidic media within the reservoir cartridge to be delivered to a patient in a controlled manner. The arrangements described above include a piston plunger <b>32</b> for imparting a controlled force on the fluidic media within the reservoir <b>24</b>, in response to the controlled drive force of a motor. However, other embodiments may employ other suitable arrangements for imparting a controlled force on the fluidic media, including arrangements in which a rotary pump blade is mounted within or to the reservoir cartridge <b>24</b>.
p-0063For example, <figref idrefs="DRAWINGS">FIG. 12</figref> shows a cross-sectional view of an embodiment of a pump assembly <b>110</b> for connection to a septum end of a reservoir cartridge <b>24</b>. The pump assembly <b>110</b> includes a housing portion <b>112</b> that contains a pump chamber <b>114</b>. A rotary pump blade <b>116</b> is supported for rotation on a drive axle <b>118</b>, within the pump chamber <b>114</b>. The drive axle <b>118</b> passes through a sealed opening in the side of the housing <b>112</b> and is attached to a gear <b>120</b> located outside of the housing <b>112</b>. The gear <b>120</b> is engaged with a motor drive gear <b>122</b> coupled to the drive shaft of the motor <b>44</b>, such that rotation of the motor drive shaft by the motor <b>44</b> causes the gear <b>120</b> to drive the blade <b>116</b> in a rotary motion within the pump chamber <b>114</b>.
p-0064The housing <b>112</b> includes a receptacle <b>124</b> for having a size and shape for receiving the septum end of a reservoir cartridge <b>24</b>. A hollow needle <b>126</b> is arranged with a sharp end located within the receptacle <b>124</b> and facing toward the open end of the receptacle <b>124</b>. The opposite end of the hollow needle is provided in fluid flow communication with the pump chamber <b>114</b>. The pump chamber <b>114</b> is also provided in fluid flow communication with an outlet chamber in an outlet end <b>128</b> of the housing <b>112</b>.
p-0065The outlet end <b>128</b> of the housing <b>112</b> may include a port or other suitable opening to convey fluidic material out of the outlet chamber end <b>128</b>. In the embodiment shown in <figref idrefs="DRAWINGS">FIG. 12</figref>, the outlet end <b>128</b> of the housing <b>112</b> includes a pair of septa <b>130</b> arranged to allow a needle to pass through both septa <b>130</b>. In this manner, a hollow needle <b>131</b> may be pushed through the septa <b>130</b> to align an inlet port <b>132</b> on the needle in fluid flow communication with the outlet chamber. The hollow needle <b>131</b> thereby provides a fluid flow path for the fluid within the outlet chamber end <b>128</b> of the housing <b>112</b> to exit the outlet chamber.
p-0066Thus, according to the arrangement shown in <figref idrefs="DRAWINGS">FIG. 12</figref>, a pump assembly <b>110</b> may be coupled to a reservoir <b>24</b>, by pushing the receptacle end <b>124</b> of the pump assembly housing <b>112</b> over the septum end of the reservoir cartridge <b>24</b> until the hollow needle <b>126</b> pierces the septum <b>27</b> on the reservoir cartridge <b>24</b> and extends partially into the reservoir. As a result, the interior of the reservoir <b>24</b> will be in fluid flow communication with the pump chamber <b>114</b>. Thereafter, rotation of the pump blade <b>116</b> in a forward pumping direction will produce a negative pressure to draw fluid from the reservoir, through the hollow needle <b>126</b> and into the pump chamber.
p-0067The action of the pump blade further causes fluid to be expelled from the pump chamber <b>114</b> and into the outlet chamber end <b>128</b> of the housing <b>112</b>, where the fluid is caused to flow into the needle port <b>132</b> and through the needle <b>131</b>. As fluidic infusion media is pumped out of the reservoir <b>24</b>, a moveable plunger <b>133</b> within the reservoir <b>24</b> may be caused to move toward the septum end of the reservoir by the negative pressure imparted by the pump assembly <b>110</b>. The plunger <b>133</b> may be configured similar to the piston plunger head <b>34</b> described above and may include one or more seals, such as o-ring seals, as described above with respect to the piston plunger head <b>34</b>. After the reservoir <b>24</b> has been sufficiently spent, the pump assembly housing <b>112</b> may be disengaged from the reservoir <b>24</b> by simply pulling the reservoir <b>24</b> and housing <b>112</b> apart to disengage the needle <b>126</b> from the septum <b>27</b>.
p-0068In the arrangement shown in <figref idrefs="DRAWINGS">FIG. 12</figref>, the needle <b>131</b> may be used in place of the needle <b>21</b>, tube <b>25</b> and connector <b>26</b> shown in <figref idrefs="DRAWINGS">FIG. 2</figref>. In particular, a reservoir <b>24</b> may be supported on a base member <b>20</b>, as described above and a pump assembly <b>110</b> may be connected to the reservoir <b>24</b>, as described above with respect to <figref idrefs="DRAWINGS">FIG. 12</figref>. The base portion <b>20</b> may be provided with an opening or pierceable wall in alignment with the tip of the needle <b>131</b>, to allow the needle to pass through the base member <b>20</b> and into the patient-user's skin under the base member <b>20</b>, when extended. In this manner, the needle <b>131</b> may be used to pierce the patient-user's skin and deliver infusion media to the patient.
p-0069Alternatively, the needle <b>131</b> may be extended through a hollow cannula, such that upon piercing the patient-user's skin with the needle, an end of the hollow cannula is guided through the patient's skin by the needle <b>131</b>. Thereafter, the needle <b>131</b> may be removed, leaving the hollow cannula in place, with one end of the cannula located within the patient and the other end of the cannula located in the outlet chamber end <b>128</b> of the pump assembly <b>110</b>, to convey pumped fluid from the pump assembly <b>110</b> into the patient.
p-0070The needle <b>131</b> may be provided with a head <b>134</b> having a surface on which a force may be applied (downward directed force with respect to the orientation in <figref idrefs="DRAWINGS">FIG. 12</figref>), to move the needle <b>131</b> through the septa <b>130</b> and into the patient's skin. The force may be applied to the needle head <b>134</b> by manually pushing the needle head. For example, a patient-user may secure the base member <b>20</b> to an appropriate location on the patient-user's skin. With the reservoir <b>24</b> and pump assembly <b>110</b> supported on the base member as described above, the patient-user may apply a force onto the needle head <b>134</b> to extend the needle <b>131</b> (or needle and cannula) through the septa <b>130</b>, through the base portion <b>20</b> and into the patient-user's skin. The durable portion <b>22</b> (containing the motor <b>44</b> and drive gear <b>122</b>) may be snap fitted to the base portion <b>20</b> in a position in which the motor <b>44</b> is aligned with the gear <b>120</b> on the reservoir <b>24</b>. The motor <b>44</b> may be controlled by motor control electronics located within the durable portion <b>22</b> to drive the rotary pump blade to pump fluidic infusion media from the reservoir <b>24</b>, through the needle <b>131</b> (or cannula) and into the patient in a controlled manner, for example, according to delivery instructions or a predefined delivery program or profile.
p-0071Other suitable arrangements for supporting a reservoir <b>24</b> on a base portion <b>20</b>, coupling a needle (or cannula) to the reservoir and inserting the needle (or cannula) into a patient-user's skin are shown in <figref idrefs="DRAWINGS">FIGS. 13-24</figref> and <b>28</b>-<b>30</b>. Elements in <figref idrefs="DRAWINGS">FIGS. 13-24</figref> and <b>28</b>-<b>30</b> that are similar to those described above with respect to <figref idrefs="DRAWINGS">FIGS. 1-12</figref> are numbered with correspondingly similar reference numbers.
p-0072For example, <figref idrefs="DRAWINGS">FIG. 13</figref> shows a partially exploded view of some of the components of a delivery device <b>10</b>, including a disposable base portion <b>20</b>, a durable portion <b>22</b> and a reservoir <b>24</b> as described above. The pump, motor, linkage and electronics are not shown in <figref idrefs="DRAWINGS">FIG. 13</figref>, to simplify the drawing. The reservoir <b>24</b> in <figref idrefs="DRAWINGS">FIG. 13</figref> is supported in a disengaged position on the base by a trough-like structure <b>140</b>. The trough <b>140</b> is positioned on a plurality of struts <b>142</b> (two on each side for a total of four in the embodiment of <figref idrefs="DRAWINGS">FIG. 13</figref>). The struts <b>142</b> are relatively rigid, but have sufficient flexibility and resilience to allow the struts to provide a snap fit with the trough, as described below. The struts <b>142</b> may be formed integral with the base portion <b>20</b> or may be separate elements that are attached to the base portion <b>20</b> by any suitable attachment mechanism. The struts <b>142</b> may be made of any suitable material, including but not limited to the material of the base <b>20</b>, metal, plastic, composite material or the like.
p-0073With reference to <figref idrefs="DRAWINGS">FIG. 14</figref>, each strut <b>142</b> has a surface <b>144</b> on which the trough structure <b>140</b> (<figref idrefs="DRAWINGS">FIG. 13</figref>) rests, when in a disengaged position. In the illustrated embodiment, the surface <b>144</b> is angled to enhance the ability of the trough structure <b>140</b> to move into an engaged position (as described below with reference to <figref idrefs="DRAWINGS">FIG. 16</figref>). In other embodiments, the surface <b>144</b> may have a curvature or other suitable shape that allows the trough structure <b>140</b> to move into an engaged position. Each strut <b>142</b> also has a stop surface <b>146</b>, for abutting an edge surface <b>148</b> of the trough structure <b>140</b>, upon the trough structure <b>140</b> being moved into an engaged position (as shown in <figref idrefs="DRAWINGS">FIG. 16</figref>).
p-0074The trough-like structure <b>140</b> includes a platform portion <b>150</b> abutted by a spring <b>152</b>. The spring <b>152</b> may comprise a coil spring arranged between the base <b>20</b> and the platform portion <b>150</b>, to bias the platform portion <b>150</b> toward the disengaged position (as shown in <figref idrefs="DRAWINGS">FIG. 13</figref>). A hollow needle <b>154</b> is secured to and extended through the platform portion <b>150</b>, such that one end of the needle <b>154</b> is directed toward the septum end of a reservoir canister <b>24</b>, when the reservoir canister <b>24</b> is placed in the trough-like structure <b>140</b>. The opposite end of the needle <b>131</b> is directed toward the disposable base <b>20</b>. The disposable base <b>20</b> may include an opening or pierceable wall portion in alignment with the needle end directed toward the base <b>20</b>, to allow the needle end to pass through the base <b>20</b> and into the patient-user's skin, when the reservoir and trough-like structure is moved into an engaged position.
p-0075More specifically, with the configuration of <figref idrefs="DRAWINGS">FIGS. 13-16</figref>, a patient-user may secure the disposable base portion to the patient-user's skin, as described above. A reservoir canister <b>24</b> having a septum end <b>27</b> is arranged on the trough-like structure <b>140</b>, with the septum <b>27</b> in alignment with the exposed end (upward facing end in <figref idrefs="DRAWINGS">FIG. 13</figref>) of the needle <b>154</b>. By manually pressing the reservoir canister <b>24</b> toward the disposable base <b>20</b>, the trough-like structure <b>140</b> may be moved from its position shown in <figref idrefs="DRAWINGS">FIG. 13</figref>, toward the base <b>20</b> and into the engaged position shown in <figref idrefs="DRAWINGS">FIG. 16</figref>, against the force of the spring <b>152</b>. During movement of the trough-like structure <b>140</b> between the disengaged position (<figref idrefs="DRAWINGS">FIG. 13</figref>) and the engaged position (<figref idrefs="DRAWINGS">FIG. 16</figref>), the struts <b>142</b> flex slightly to allow the trough-like structure to move to a position under the stop surfaces <b>146</b> of the struts <b>142</b>. When in the engaged position (<figref idrefs="DRAWINGS">FIG. 16</figref>), the stop surfaces <b>146</b> of the struts <b>142</b> engage the edge surfaces <b>148</b> of the trough-like structure <b>140</b>, to lock the trough-like structure in an engaged position.
p-0076The action of moving the reservoir canister <b>24</b> into an engagement position also effects the placement of the needle <b>154</b> into an engagement position. Initially, the end of the reservoir end of the needle <b>154</b> may be arranged adjacent or even partially extended into the septum <b>27</b> of the reservoir canister <b>24</b>. By manually engaging or pressing the reservoir canister <b>24</b> onto the trough-like structure <b>140</b>, the hollow needle <b>154</b> is caused to pierce the septum <b>27</b> of the reservoir canister <b>24</b> and come into flow communication with fluidic media within the reservoir canister <b>24</b>. By applying a greater manual pressure onto the reservoir canister <b>24</b>, the reservoir canister <b>24</b> and the trough-like structure <b>140</b> are caused to move from the disengaged position (<figref idrefs="DRAWINGS">FIG. 13</figref>) into the engaged position (<figref idrefs="DRAWINGS">FIG. 16</figref>). At the same time, the needle <b>154</b> is moved with the trough-like structure <b>140</b>, to cause the lower end of the needle to pass through the base portion <b>20</b> and into the patient-user's skin.
p-0077When the trough-like structure <b>140</b> reaches the engaged position (<figref idrefs="DRAWINGS">FIG. 16</figref>), the struts <b>142</b> snap into position over the edge <b>148</b> of the trough-like structure <b>140</b>. Thus, in the engaged position (<figref idrefs="DRAWINGS">FIG. 16</figref>), the spring <b>152</b> is compressed, the trough-like structure <b>140</b> is locked in place by the struts. In addition, when in the engaged position, the hollow needle <b>154</b> is located with one end of the needle in fluid flow communication with the interior of the reservoir canister <b>24</b> and the other end of the needle inserted into the patient, as shown in <figref idrefs="DRAWINGS">FIG. 15</figref>. Once the reservoir canister <b>24</b> and trough-like structure <b>140</b> are in the engaged position (<figref idrefs="DRAWINGS">FIG. 16</figref>), the durable portion <b>22</b> may be snap fitted to the base portion <b>20</b> so as to engage a motor with the reservoir canister <b>24</b> for driving fluid from the reservoir canister <b>24</b> in a controlled manner, as described above.
p-0078<figref idrefs="DRAWINGS">FIGS. 17 and 18</figref> show another configuration example for moving a hollow needle (or cannula) into an engagement position, in which the needle (or cannula) is in flow communication with the reservoir canister <b>24</b> and has an end located within the patient-user.
p-0079In the configuration shown in <figref idrefs="DRAWINGS">FIGS. 17 and 18</figref>, a spring-biased needle <b>170</b> is surrounded by a coil spring <b>172</b> and extends from a spring head member <b>174</b>. When the spring <b>172</b> is compressed (as shown in <figref idrefs="DRAWINGS">FIG. 17</figref>), the needle <b>170</b> is in a retracted position in which the sharp end of the needle is positioned adjacent (or even slightly piercing) the septum end <b>27</b> of a reservoir canister <b>24</b>. When the spring <b>172</b> is in the uncompressed or partially uncompressed state (as shown in <figref idrefs="DRAWINGS">FIG. 18</figref>), the needle <b>170</b> is moved through the septum <b>27</b> of the reservoir canister <b>24</b>, through the base portion <b>20</b>, and into a patient-user's skin.
p-0080The disposable base portion <b>20</b> may be provided with one or more latch members <b>176</b> that may be positioned to abut the spring head member <b>174</b>, when the spring <b>172</b> is in the retracted position, to hold the spring <b>172</b> (and needle <b>170</b>) in the retracted position shown in <figref idrefs="DRAWINGS">FIG. 17</figref>. The latch member(s) <b>176</b> may be manually moveable or flexible to selectively disengage from the spring head member <b>174</b> and allow the spring to expand and move the needle <b>170</b> into the extended or engaged position of <figref idrefs="DRAWINGS">FIG. 18</figref>. The needle <b>170</b> may comprise a hollow needle having a side port located in a position that comes into flow communication with the inside volume of the reservoir canister <b>24</b> when the needle <b>170</b> is positioned in the extended or engaged position (<figref idrefs="DRAWINGS">FIG. 18</figref>). Alternatively, a cannula may be positioned on the needle <b>170</b> such that moving the needle into the extended or engaged position (<figref idrefs="DRAWINGS">FIG. 18</figref>) moves one end of the cannula into flow communication with the interior of the reservoir canister <b>24</b> and the other end of the cannula into the patient-user. Thereafter, the needle <b>170</b> may be removed, leaving the cannula in place.
p-0081In one example, each latch member <b>176</b> may comprise a pivotal member that is supported on a strut or other support structure (not shown) of the base portion <b>20</b> for pivotal motion between a latched position (<figref idrefs="DRAWINGS">FIG. 17</figref>) and an unlatched position (<figref idrefs="DRAWINGS">FIG. 18</figref>). Each latch member <b>176</b> may have a manually operable portion <b>178</b> that is arranged to allow a user to selectively apply a manual force to selectively disengage the latch member <b>176</b> from the spring head member <b>174</b>. In the embodiment of <figref idrefs="DRAWINGS">FIGS. 17 and 18</figref>, two latch members <b>176</b> are provided, such that the patient-user must release both latch members <b>176</b> at the same time to cause the spring <b>172</b> and needle <b>170</b> to move from the retracted position (<figref idrefs="DRAWINGS">FIG. 17</figref>) to the extended or engaged position (<figref idrefs="DRAWINGS">FIG. 18</figref>).
p-0082Yet another configuration example for moving a hollow needle (or cannula) into an engagement position is shown with respect to <figref idrefs="DRAWINGS">FIGS. 19-22</figref>. In the configuration shown in <figref idrefs="DRAWINGS">FIGS. 19-22</figref>, the reservoir canister <b>24</b> is provided with a head section <b>190</b> having an internal flow passage <b>192</b> and a septum <b>194</b>. The internal flow passage <b>192</b> has one end in fluid flow communication with the interior of the reservoir canister <b>24</b>. A spring-biased needle <b>196</b> is surrounded by a coil spring <b>198</b> and extends from a spring head member <b>199</b>. When the spring <b>198</b> is compressed (as shown in <figref idrefs="DRAWINGS">FIG. 19</figref>), the needle <b>196</b> is in a retracted position in which the sharp end of the needle is positioned adjacent (or even slightly piercing) the septum <b>194</b> of a reservoir canister <b>24</b>. When the spring <b>198</b> is in the uncompressed or partially uncompressed state (as shown in <figref idrefs="DRAWINGS">FIGS. 20 and 21</figref>), the needle <b>196</b> is moved through the septum <b>194</b> of the reservoir canister <b>24</b>, through a portion of the flow passage <b>192</b>, through the base portion <b>20</b>, and into a patient-user's skin.
p-0083A latch member <b>200</b> has a catch hook or surface <b>202</b> that may be positioned to abut the spring head member <b>199</b>, when the spring <b>198</b> is in the retracted position, to hold the spring <b>198</b> (and needle <b>196</b>) in the retracted position shown in <figref idrefs="DRAWINGS">FIG. 19</figref>. The latch member <b>200</b> may be manually moveable to selectively disengage the catch surface <b>202</b> from the spring head member <b>199</b> and allow the spring to expand and move the needle <b>196</b> into the extended or engaged position of <figref idrefs="DRAWINGS">FIGS. 20 and 21</figref>. The needle <b>196</b> may comprise a hollow needle having a side port located in a position that comes into flow communication with the flow passage <b>192</b> and, thus, the inside volume of the reservoir canister <b>24</b>, when the needle <b>196</b> is positioned in the extended or engaged position (<figref idrefs="DRAWINGS">FIGS. 20 and 21</figref>). Alternatively, a cannula may be positioned on the needle <b>196</b> such that moving the needle into the extended or engaged position (<figref idrefs="DRAWINGS">FIGS. 20 and 21</figref>) moves one end of the cannula into flow communication with the interior of the reservoir canister <b>24</b> and the other end of the cannula into the patient-user. Thereafter, the needle <b>196</b> may be removed, leaving the cannula in place.
p-0084The latch member <b>200</b> in <figref idrefs="DRAWINGS">FIGS. 19-22</figref> is supported for rotation movement on the reservoir canister head <b>190</b>. The latch member <b>200</b> may connect to or include a valve portion <b>204</b> located within the flow passage <b>192</b>. In the illustrated embodiment, the valve portion <b>204</b> comprises a rotary valve having a pass-through passage that aligns with the flow passage <b>192</b>, when the valve portion <b>204</b> is rotated into an open position (as shown in <figref idrefs="DRAWINGS">FIGS. 20 and 21</figref>). However, when the valve portion <b>204</b> is rotated into a closed position (as shown in <figref idrefs="DRAWINGS">FIG. 19</figref>), the pass-through passage in the valve portion <b>204</b> is not aligned with the flow passage <b>192</b> (and, instead, a solid wall of the valve portion <b>204</b> blocks the flow passage <b>192</b>), such that fluid flow from the reservoir canister <b>24</b> is inhibited. The latch member <b>200</b> may include a handle <b>206</b> that allows a patient-user to readily rotate the latch member between the positions shown in <figref idrefs="DRAWINGS">FIGS. 19 and 21</figref>. The latch member <b>200</b> may be separable from the valve portion <b>204</b>, such that, once the valve member <b>204</b> is rotated into an open position (<figref idrefs="DRAWINGS">FIG. 20</figref>), the latch member <b>200</b> may be further rotated to lock the valve member <b>204</b> into the open state and to detach the latch member <b>200</b> from the valve member <b>204</b> (as shown in <figref idrefs="DRAWINGS">FIG. 21</figref>).
p-0085Thus, according to the configuration shown in <figref idrefs="DRAWINGS">FIGS. 19-22</figref>, a patient-user may secure the disposable base portion <b>20</b> onto the patient-user's skin. The patient-user then may grip the handle <b>206</b> and rotate the latch member <b>200</b> from a position as shown in <figref idrefs="DRAWINGS">FIG. 19</figref> into a position as shown in <figref idrefs="DRAWINGS">FIG. 20</figref>, for example, by turning the handle <b>206</b> in the direction of arrow <b>208</b>. As the latch member <b>200</b> is rotated, the catch <b>202</b> is caused to align with a notch <b>210</b> in the spring head <b>199</b> and releases the spring head <b>199</b>. Upon release of the spring head <b>199</b>, the spring <b>198</b> causes the spring head <b>199</b> and needle <b>196</b> (or needle <b>196</b> and surrounding cannula) to move into the extended or engaged position (shown in <figref idrefs="DRAWINGS">FIG. 20</figref>). As the needle <b>196</b> moves to the extended position (<figref idrefs="DRAWINGS">FIG. 20</figref>), the needle is passed through the septum <b>194</b>, a portion of the flow passage <b>192</b>, the base member <b>20</b> and a the patient-user's skin in a single, quick motion.
p-0086The patient-user may, then, rotate the handle <b>206</b> further in the direction of arrow <b>212</b> into a lock position as shown in <figref idrefs="DRAWINGS">FIG. 21</figref>. In the locked position, the latch member <b>200</b> becomes disengaged from the valve member <b>204</b>. If the needle <b>196</b> is used as an introducer needle, for introducing a cannula, the needle <b>196</b> may be removed, once the cannula has been set in place. Thus, after rotating the latch member <b>200</b> into the position shown in <figref idrefs="DRAWINGS">FIG. 21</figref>, the latch member (including the introducer needle <b>196</b>) may be pulled out of the delivery device and disposed of (as shown in <figref idrefs="DRAWINGS">FIG. 22</figref>).
p-0087In one embodiment, the latch member <b>200</b> may be accessible to the patient-user, when the durable portion <b>22</b> is removed from the base portion <b>20</b> of the delivery device <b>12</b>. In other embodiments, the latch member <b>200</b> may extend through an opening in the durable portion <b>22</b> so as to be accessible to a patient-user after the durable portion <b>22</b> has been fitted onto the base portion <b>20</b>, as shown in <figref idrefs="DRAWINGS">FIG. 22</figref>.
p-0088Yet other embodiments may employ a more simplified manner of positioning a needle (or needle and cannula) into the extended or engaged position discussed above. For example, <figref idrefs="DRAWINGS">FIGS. 23 and 24</figref> show an arrangement similar to that of <figref idrefs="DRAWINGS">FIG. 11</figref>, except that a simple needle hub member that extends through the durable portion <b>22</b> is used. In the configuration of <figref idrefs="DRAWINGS">FIGS. 23 and 24</figref>, a needle hub comprises a needle <b>220</b> for piercing a septum of a reservoir canister <b>24</b> as described above. The durable portion <b>22</b> of the delivery device <b>12</b> is provided with an opening <b>222</b> through which the needle <b>220</b> may be inserted. The opening <b>222</b> is aligned with the septum of the reservoir cansister <b>24</b> (not in view in <figref idrefs="DRAWINGS">FIGS. 23 and 24</figref>) located on the disposable portion <b>20</b> of the delivery device <b>12</b>.
p-0089The needle <b>220</b> may comprise a hollow needle having a side port located in a position that comes into flow communication with the interior of the reservoir canister <b>24</b> (not in view in <figref idrefs="DRAWINGS">FIGS. 23 and 24</figref>) when the needle <b>220</b> is positioned in the extended or engaged position (<figref idrefs="DRAWINGS">FIG. 23</figref>). Alternatively, a cannula may be positioned on the needle <b>220</b> such that moving the needle into the extended or engaged position (<figref idrefs="DRAWINGS">FIG. 23</figref>) moves one end of the cannula into flow communication with the interior of the reservoir canister <b>24</b> and the other end of the cannula into the patient-user. Thereafter, the needle <b>220</b> may be removed, leaving the cannula in place (as shown in <figref idrefs="DRAWINGS">FIGS. 24</figref>).
p-0090Various aspects of the multiple embodiments described above may be employed independently or in combinations thereof. For example, any one of the various configurations described herein for coupling a motor <b>44</b> to a reservoir <b>24</b> to drive fluid from the reservoir in a controlled manner may be employed with any one of the various configurations described herein for moving a needle into an engagement position to effect a flow communication between the reservoir <b>24</b> and the patient-user.
p-0091Significant advantages can be obtained from various embodiments and combinations described herein, wherein a delivery device includes a disposable portion that secures to a patient-user's skin and holds components that come into contact with the infusion media (such as the reservoir), and a durable portion that includes a drive motor and suitable electronics. Expensive components contained in the durable portion of the delivery device may be used over again, while the disposable portion of the delivery device may be readily disposed of after one (or a prescribed number) of uses. By simplifying the manner in which the disposable portion of the delivery device can be replaced and by simplifying the manner in which the delivery device can be re-activate after replacing a disposable portion, a greater number of patients will be able to use and benefit from such delivery devices
p-0092To further simplify the use and operation of delivery devices as described herein, such delivery devices may be configured in a manner to simplify the ability to remove the disposable base portion <b>20</b> from the patient-user's skin. In the examples described above, the disposable base portion <b>20</b> may be secured to a user's skin by use of a suitable adhesive. However, if the adhesive is very strong, the patient-user may have difficulty (and, even, pain) when trying to pull or peal the base portion <b>20</b> off of the patient-user's skin. Accordingly, in one embodiment, the adhesive applied to the skin-contacting surface of the disposable base portion <b>20</b> is provided in selective locations (instead of across the entire surface). Such locations may be selected to provide suitable adhering qualities, such as locations around the position at which the needle passes through the base portion <b>20</b>.
p-0093Alternatively, or in addition, adhesive material may be applied to peripheral regions of the base portion <b>20</b>, while leaving some or all of the central region of the base portion <b>20</b> free of adhesive. One example of an adhesive pattern on the bottom (skin-facing) surface of the base portion <b>20</b> is shown in <figref idrefs="DRAWINGS">FIG. 25</figref>. In <figref idrefs="DRAWINGS">FIG. 25</figref>, an adhesive pattern is shown in cross-hatching and includes adhesive <b>230</b> disposed along the outer peripheral edge of the base portion <b>20</b> and further adhesive <b>232</b> around a needle opening <b>234</b> in the base portion. However, a large part of the central region <b>236</b> of the base portion <b>20</b> is free of adhesive. In this regard, once a patient-user is able to remove or peal off an edge of the base portion <b>20</b> from the patient-user's skin, the rest of the base portion <b>20</b> can be pealed off of the skin with reduced force relative to a base portion <b>20</b> that is fully covered with adhesive.
p-0094In yet a further embodiment, an agent may be applied to dissolve the adhesive or otherwise reduce the adhering qualities of the adhesive, as part of a procedure for removing a base portion <b>20</b> from a patient-user's skin. The particular adhesive releasing agent employed may depend upon the type of adhesive and, in some contexts, may be water or an aqueous solution. The releasing agent may be formed in a gel, so as to avoid excessive running of the agent, when it is applied. The agent may be applied in various manners, including a spray applicator. In the configuration shown in <figref idrefs="DRAWINGS">FIG. 26</figref>, the delivery device <b>12</b> is provided with a reservoir <b>260</b>, such as a flexible container or bladder, containing an adhesive releasing agent. The reservoir <b>260</b> may be mechanically coupled to an actuator button <b>262</b> that may be manually operated (e.g., pressed) to apply pressure onto the flexible container or bladder <b>260</b> to cause the agent within the container <b>260</b> to be released.
p-0095A network of tubes or conduits <b>264</b> may be connected to an outlet opening on the container or bladder <b>260</b>, to direct the adhesive releasing agent to appropriate dispensing locations around the base portion <b>20</b>, upon application of a suitable pressure on the container or bladder <b>260</b>. The base portion <b>20</b> may be provided with openings or may be suitably porous to allow releasing agent from the network of tubes or conduits <b>164</b> to pass through the base portion <b>20</b> to act upon adhesive material disposed between the base portion <b>20</b> and the patient-users skin. In embodiments in which the adhesive material is provided in specified locations (as shown in <figref idrefs="DRAWINGS">FIG. 25</figref>), the network of tubes or conduits <b>264</b> may be configured to direct the releasing agent to those specified locations. For example, in connection with the adhesive pattern shown in <figref idrefs="DRAWINGS">FIG. 25</figref>, a network of tubes or conduits <b>164</b> may be configured to dispense the adhesive releasing agent to the outer peripheral edges of the base portion <b>20</b> and to an area surrounding the needle opening <b>234</b> in the base portion <b>20</b>.
p-0096In further embodiments, the base portion <b>20</b> may be made of a relatively flexible material, such as, but not limited to, a silicon rubber, flexible plastic, or the like, wherein the flexible nature of the material allows a patient-user to more easily peal off the base portion <b>20</b> from the patient-user's skin. In particular, with a flexible base portion <b>20</b>, the patient-user may peal off an edge of the base portion <b>20</b> from the patient-user's skin and, then bend the edge upward and across the rest of the base portion <b>20</b>, to provide a pull surface for pealing the remainder of the base portion <b>20</b> off of the patient-user's skin.
p-0097In this manner, the base portion <b>20</b> may be readily pealed off of the patient-user's skin and disposed of, after a suitable period of use. The durable portion <b>22</b> of the delivery device <b>12</b> may be snap fitted to a new base portion <b>20</b> to continue the patient-user's treatment. As described above, the durable portion <b>22</b> may contain components, such as the drive motor <b>44</b>, linkage components for linking the drive motor to a reservoir, and electronics for controlling the drive motor to provide a controlled delivery of infusion media. The drive motor <b>44</b> may be any suitable motor that may be electronically controlled, including, but not limited to a stepper motor, brushless motor, or the like.
p-0098While the electronics for operating the delivery device <b>12</b> may take various forms, one example embodiment of an electronics system <b>270</b> is shown in <figref idrefs="DRAWINGS">FIG. 27</figref>, wherein a processor <b>271</b> is configured or otherwise programmed to provide functions described herein. The processor <b>271</b> may be electronically connected to a motor control circuit <b>272</b> for controlling the operation of the motor <b>44</b>. The motor <b>44</b> may be controlled to operate (drive fluid from the reservoir) in accordance with delivery program or profile data stored in an electronic storage device <b>274</b> connected to or otherwise associated with the processor <b>271</b>. Alternatively or in addition, the processor <b>271</b> may respond to manual inputs, for example, from a manually operated button or other input device <b>276</b> on the delivery device <b>12</b>, to control the motor <b>44</b> (through the motor control circuit <b>272</b>). As a further alternative or addition, the processor <b>271</b> may respond to inputs received by receiver electronics <b>278</b> from, for example, a CCD <b>16</b> or computer <b>18</b> (<figref idrefs="DRAWINGS">FIG. 1</figref>) to control the motor <b>44</b> (through the motor control circuit <b>272</b>). The processor <b>270</b> may be connected to a sensor or monitor <b>14</b> to receive data representing a sensed condition (such as, but not limited to, a blood glucose level condition). The delivery device <b>12</b> may include a display device <b>280</b> for displaying information to the patient-user, where the processor <b>271</b> may be connected to control the display device <b>280</b>. Suitable programs for controlling the processor <b>270</b> may be stored in the storage device <b>274</b> or other storage medium associated with the processor. A power source (not shown in <figref idrefs="DRAWINGS">FIG. 27</figref>), such as a battery, may be connected to various components of the electronic circuit and motor <b>44</b> shown in <figref idrefs="DRAWINGS">FIG. 27</figref>, to
p-0099A partially exploded view of a delivery device <b>12</b> in accordance with a further embodiment of the invention is shown in <figref idrefs="DRAWINGS">FIG. 28</figref>, wherein a durable portion <b>22</b> of the delivery device contains electronics <b>270</b>, a power source <b>280</b> for the electronics and a motor <b>44</b>, as described above. The delivery device <b>12</b> in <figref idrefs="DRAWINGS">FIG. 28</figref> also includes a disposable base portion <b>20</b> on which a reservoir canister <b>24</b> may be supported, as described above. An introducer needle <b>281</b> has a handle portion <b>282</b> and is positioned to allow the needle to be passed through the septum <b>27</b> of the reservoir <b>24</b>, when the reservoir <b>24</b> is supported on the base portion <b>20</b>, similar to the needle arrangement described above with respect to <figref idrefs="DRAWINGS">FIGS. 23 and 24</figref>. However, in addition to a introducer needle, the delivery device <b>12</b> in <figref idrefs="DRAWINGS">FIG. 28</figref> also includes a second needle <b>284</b> connected to sensor electronics. For example, the second needle <b>284</b> may be connected to electronics that produce an electronic signal representative of a sensed biological state, such as, but not limited to, blood glucose level. In this manner, the delivery device <b>12</b> may include an on-board sensor (such as an on-board continuous blood glucose sensor that provides continuous sensor data). In further embodiments, other types of sensor electronics may be included in the delivery device to provide sensing data. Such sensors may comprise, but are not limited to, infrared or other forms of spectral analysis sensors (wherein the base portion <b>20</b> may be provided with an opening or window through which infrared or other radiated beams may pass to access the patient's skin below the base portion.
p-0100The electronic signal may be provided to the electronics <b>270</b>, through an electrical coupling <b>286</b>. The electronics <b>270</b> may include suitable electronics for processing the sensor signal. As described above, the needles <b>281</b> and <b>284</b> may be hollow needles that perform the fluid communication function, once inserted into the patient-user. Alternatively, the needles <b>281</b> and <b>284</b> may be introducer needles that introduce a cannula for providing the fluid communication function, after which the needles may be removed, leaving the cannula in place. <figref idrefs="DRAWINGS">FIGS. 29 and 30</figref> provide additional views of an embodiment similar to that of <figref idrefs="DRAWINGS">FIG. 28</figref>.
p-0101While embodiments described above have been illustrated in the drawings with needles configured in common straight, linear configurations, the above embodiments may be employed with needle configurations designed to reduce physical stress on the patient. For example, once a delivery device has been secured to a patient-user, a needle (or canulla) is extended into the user's skin, as describe above. With the delivery device adhered to the surface of the skin, it is possible that the delivery device will move slightly relative to the needle point site, as the patient-user moves and as the patient-user's skin moves and flexes. The movement of the delivery device while the needle is extended into the patient-user's skin can apply a physical strain on the needle and, thereby cause the needle tip to move within the patient, resulting in physical discomfort to the patient.
p-0102To minimize such discomfort, a needle configuration may be employed, wherein the needle is configured to minimize the transfer of movement to the needle tip. For example, by forming a needle with multiple angles (such as multiple perpendicular angles) along its length, the transfer of motion occurring on one end of the needle to the other end of the needle can be reduced. Example needle configurations with such multiple angles are shown in <figref idrefs="DRAWINGS">FIGS. 30</figref>, <b>31</b> and <b>32</b>, respectively. The needle <b>300</b> in <figref idrefs="DRAWINGS">FIG. 30</figref> has two right-angle bends. The bends in combination with the flexible nature of the needle material result in dampening movements of the reservoir end of the needle <b>300</b> with respect to the sharp end (patient-user end) of the needle. Similarly, the needle <b>302</b> in <figref idrefs="DRAWINGS">FIG. 31</figref> includes four right-angle bends. The needle <b>303</b> in <figref idrefs="DRAWINGS">FIG. 32</figref> includes two right angle bends. Other configurations with angled bends, loops, spirals or the like may be employed to help dampen the transfer of motion from one end of the needle to the other. Further example of needle shapes are shown in <figref idrefs="DRAWINGS">FIGS. 33-36</figref>.
p-0103While embodiments described above employ a electrically operated pump <b>44</b> connected to a reservoir canister <b>24</b>, other embodiments may employ other manners of storing infusion media and selectively dispensing the infusion media to the patient, including, but not limited to flexible bellows reservoirs, bladders, syringes or peristaltic pump devices.
p-0104Thus according to embodiments described above, an at-site delivery system could be fully disposable utilizing either a user filled reservoir or a pre-filled cartridge to deliver insulin. Alternatively, the at-site delivery system could be made of two parts, disposable portion and non-disposable portion. The disposable portion could contain all materials that are in direct contact with the medication such as reservoir body, reservoir piston, septum systems and injection needle. The non-disposable portion could contain significantly the materials that are not in contact with the medication including the drive system, pressure or force sensing system, battery, electronics, display, and non-disposable housing. The pump could be designed such that the disposable portion (user filled or pre-filled cartridge) is inserted into the non-disposable portion. In this manner, the adhesive to attach the pump would be placed on the non-disposable pump portion. Alternatively, the disposable portion could contain the bottom plate and mounting adhesive.
p-0105While particular embodiments of the present invention have been shown and described, it will be obvious to those skilled in the art that the invention is not limited to the particular embodiments shown and described and that changes and modifications may be made without departing from the spirit and scope of the claimed invention.
Contents4
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Numbers
- Application
- 21046705
Titles
- English
- Infusion device and method with drive device in infusion device and method with drive device in separable durable housing portion
Patent term adjustment
- A delay
- +568 daysthe office missed an examination deadline
- Applicant delay
- −121 days
- Net adjustment
- 447 days
Classification
- CPC, 13
- A61M5/1413
- A61M5/172
- A61M5/14236
- A61M5/14248
- A61M5/1456
- A61M5/158
- A61M25/02
- A61M2005/14252
- A61M2005/14268
- A61M2005/14573
- A61M2005/1581
- A61M5/1723
- A61M2207/10
- IPC, 1
- A61K9 22
- USPC, 1
- 604890100